Utilization review activities for cost-effective care
The role utilizes critical thinking and care coordination expertise to develop plans of care that provide extraordinary patient service while being sensitive to costs
Job Summary
The role utilizes critical thinking and care coordination expertise to develop plans of care that provide extraordinary patient service while being sensitive to costs.
Employees are responsible for communicating regularly with residents and families regarding treatment protocols and attending morning meetings to facilitate team communication.
The position requires coordinating referrals, overseeing admissions and discharges, and performing utilization reviews to ensure appropriate and timely care delivery.
Matching Summary
The role utilizes critical thinking and care coordination expertise to develop plans of care that provide extraordinary patient service while being sensitive to costs.
Skills & Requirements
Must-have
Critical thinking skills for care coordination
Regular communication with residents and families
Utilization review activities for cost-effective care
Oversee admissions and discharge activities
Accurate charting and timely paperwork completion
Nice-to-have
Compassionate professional demeanor
Excellent time management in high-volume environment
Ability to work independently with sound judgment
Positive interactions with diverse stakeholders
Intermediate computer skills for documentation
Key Requirements
Bachelor's Degree in Social Work, Human Services, Nursing, or related field
Prior experience in healthcare, case management, or social services
Knowledge of Medicare, Medi-Cal, and Medicaid programs
Familiarity with PointClickCare or other EMR systems preferred
Certified Case Manager (CCM) certificate is a plus